Sponsorship Booking Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Company Details Company Name *Address *Address Line 1Address Line 2CityPostCodeAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta and MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo (DRC)Congo (Republic)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmark (Danmark)Diego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedonia (FYROM)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. Vincent & GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PríncipeTaiwan, Province of ChinaTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweVAT NumberDescription of Company Activities *Website / URL *Company Logo * Click or drag a file to this area to upload. Please upload your company logo to display on the websiteNextContact Person Information Name *FirstLastEmail *PhoneEmail of representativeEmail of representative (if different person than main contact)Mobile number of representativeMobile number of representative (if different person than main contact)PreviousNextSponsorship Booking Please select your choice of sponsorship option(s). Please consult the Sponsorship Prospectus on the for information on each sponsorship option available. Sponsorship OptionsPlatinum Sponsor - R 75,000.00Gold Sponsor - R 60,000.00Silver Sponsor - R 45,000.00Congress Session Sponsorship - R 45,000.00Congress Audio Visual Sponsorship - R 40,000.00Congress Gift Sponsorship - R 35,000.00Online Registration Sponsor - R 25,000.00Congress Name Badge Sponsor - R 20,000.00Pre-Congress Workshop Sponsorship - R 15,000.00Registrar Support - R 20,000.00Registrar Prize SponsorshipBest Lab Paper Winner - R 5,000.00Best Lab Paper Runner Up - R 2,500.00Best Clinical Paper Winner - R 10,000.00Best Clinical Paper Runner Up - R 5,000.00Best Publication 2024 Winner - R 10,000.00Best Poster Winner - R 5,000.00Consultant Prize SponsorshipBest Publication 2024 Winner - R 10,000.00Best Paper Winner - R 8,000.00Best Paper Runner Up - R 4,000.00Total Amount DueR 0.00 Invoice will be issued Sponsorship amounts excl VAT TERMS AND CONDITIONS PAYMENT TERMS - SPONSORSHIP Upon submission of the Sponsorship booking form, a full sponsorship invoice will be issued. The organizers will confirm the sponsorship on a first come, first served basis. Sponsorship benefits will be activated upon receipt of the sponsorship payment. Sponsorship allocation follows a first-come, first-served basis. CANCELLATION POLICY: No refunds are applicable for cancellations. LIABILITY All sponsoring and exhibiting companies assumes the risk of injury, loss and/or damage for their own fixtures, displays and any other property located in the Westin Cape Town Hotel. The Sponsor/Exhibitor shall not damage any of the provided items or the venue infrastructure. Any resulting damages must be paid to the supplier or venue by the exhibiting company directly. It is recommended that exhibiting companies take out their own event insurance. For more information and assistance please contact the organizers: Deidre Cloete Email: deidre@iafrica.com Mobile: 0832610207 Acceptance *I hereby accept the terms and conditionsPreviousSubmit
